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Endoscopic Ultrasound Guided Intervention (EUS)

What is Endoscopic Ultrasound-Guided Intervention?

Endoscopic ultrasound (EUS) guided intervention is a minimally invasive procedure that uses a flexible endoscope equipped with an ultrasound probe to visualize and access internal organs and tissues in the body. The ultrasound probe emits high-frequency sound waves that bounce off internal structures, creating detailed images of the surrounding tissues.

During EUS-guided intervention, a needle or other medical device is inserted through the endoscope and guided by ultrasound imaging to precisely target and access the area of interest, such as a tumor or a fluid-filled cavity. This allows for accurate biopsy sampling or drainage of the target tissue or organ.

EUS-guided intervention is used to diagnose and treat a variety of conditions, including cancers of the gastrointestinal tract, pancreas, and liver, as well as cysts and abscesses.

Why and when Endoscopic Ultrasound-Guided Intervention is recommended?

Endoscopic ultrasound (EUS) guided intervention is recommended when a patient has a condition that requires a detailed evaluation of the gastrointestinal tract, pancreas, or liver. It may also be recommended for the diagnosis and treatment of certain other conditions, such as cysts or abscesses.

EUS-guided intervention is typically recommended when other diagnostic methods, such as computed tomography (CT) or magnetic resonance imaging (MRI), have not been able to provide a definitive diagnosis. EUS can provide more detailed and accurate images of the internal structures than other imaging methods, making it an ideal tool for diagnosing certain conditions.

EUS-guided intervention may also be recommended for the treatment of certain conditions. For example, if a patient has a cyst or fluid-filled cavity that needs to be drained, EUS can be used to guide a needle to the site of the cyst or cavity and drain the fluid. EUS-guided intervention can also be used to perform biopsies or other types of tissue sampling.

Overall, EUS-guided intervention is recommended when a patient has a condition that requires a precise evaluation or treatment of the gastrointestinal tract, pancreas, or liver and when other diagnostic methods have not provided a definitive diagnosis or treatment option. The decision to recommend EUS-guided intervention will depend on the individual patient's condition and their medical history.

How is Endoscopic Ultrasound (EUS) Guided Intervention different other conventional treatments?

Endoscopic ultrasound (EUS) guided intervention is a minimally invasive procedure that offers several advantages over conventional treatments. Here are some ways that EUS-guided intervention differs from other conventional treatments:

Minimally invasive: EUS-guided intervention is a minimally invasive procedure that does not require open surgery. This means that there is less pain, scarring, and recovery time compared to conventional surgical procedures.

Precise targeting: EUS-guided intervention allows for precise targeting of the area of interest using real-time ultrasound imaging. This allows for accurate diagnosis and treatment of conditions that may not be visible with other imaging methods.

Multi-functional: EUS-guided intervention is a multi-functional tool that can be used for diagnosis and treatment of a variety of conditions, including cancers, cysts, abscesses, and other abnormalities. It can be used to perform biopsies, drain fluid-filled cavities, and deliver medications directly to the site of the problem.

Lower risk of complications: EUS-guided intervention has a lower risk of complications compared to conventional surgical procedures. The procedure is typically performed under sedation and has a low risk of bleeding, infection, or other complications.

Cost-effective: EUS-guided intervention can be a cost-effective alternative to other conventional treatments. It can be performed on an outpatient basis, which can reduce hospitalization costs and improve patient outcomes.

Overall, EUS-guided intervention offers several advantages over other conventional treatments, making it an effective and safe option for the diagnosis and treatment of a variety of conditions.

How is life after Endoscopic Ultrasound (EUS) Guided Intervention?

Life after Endoscopic ultrasound (EUS) guided intervention can vary depending on the reason for the procedure, the extent of the intervention, and the patient's overall health. In general, most patients can resume their normal activities within a few days to a week after the procedure.

If the patient had EUS-guided biopsy, they may experience some discomfort or mild pain at the site of the biopsy for a few days. The healthcare provider may recommend pain relievers or over-the-counter pain medication to manage any discomfort.

If the patient had EUS-guided drainage of a fluid-filled cavity, they may experience some drainage or leakage from the site for a few days. The healthcare provider may recommend regular dressing changes or other follow-up care to ensure proper healing.

Overall, the recovery and life after EUS-guided intervention can be relatively quick and easy, but it depends on the individual case and the type of intervention performed. The healthcare provider can provide more specific information on what to expect after the procedure.

FAQs

At Aster Hospitals we provide the highest quality of care and a transformative experience for all your healthcare needs. With our network of multi-speciality hospitals, specialised doctors, and world-class technology, we bring global standards of medical care to our patients.

What causes liver cancer?

In some scenarios the cause of liver cancer is identified, for instance chronic hepatitis infection damages the DNA in the liver cells and cause liver cancer. Sometimes liver cancer occurs in patients with no underlying health conditions and it's not clear what causes it.

What are the diets to be followed after bariatric surgery?

Your dietitian will help you to follow an ideal dietary plan. Usually, the diet includes foods rich in protein, vitamins, minerals, also it is important to manage the fluid intake to keep hydrated.

Is the bariatric procedure safe?

Yes, it is relatively safe procedure with the help of cutting-edge modern technology and experienced medical team at Aster Medcity, Kochi

How liver cancer is diagnosed?

Liver cancer is diagnosed by performing following tests and procedures; It is not possible to diagnose hepatic cancer by doing normal blood tests. A specific blood test is done to find levels of alfa-fetoprotein in serum (AFP). Increased levels of AFP indicate presence of liver cancer. Sometimes the doctor may suggest imaging studies such as a CT or MRI scan. Liver biopsy is another method used to identify malignant or benign tumour. It is done is by removing tissue from liver and examining under the microscope, liver biopsy can be done along with CT scan. Another method to identify liver cancer is by doing laparoscopy, in this procedure the surgeon assesses the signs of hepatocellular carcinoma by inserting a flexible tube with a camera and light at the tip (laparoscope) by making a small incision in the abdomen.

What are the main risk factors affecting liver cancer Treatment?

There are many factors which affects the liver cancer treatment which includes Certain liver conditions: - Non-alcoholic fatty liver - Liver cirrhosis developed due to Chronic hepatitis B virus (HBV) or hepatitis C virus (HCV) infection. Diabetes: Poorly managed type 2 diabetes can make fatty liver and could make the liver cancer worse.

What are the symptoms of liver cancer?

Most of the time the Signs and symptoms of liver cancer do not show up until the later stages, but sometimes the signs and symptoms may show up in the beginning stage. Listed below are the common symptoms of liver cancer of hepatic cancer: You may notice unplanned Weight loss, lack of appetite, nausea or vomiting and a feeling of fullness after having a small meal. Enlarged liver & spleen, pain in the right shoulder blade, abdominal pain and swelling Itching and Yellowing of the skin and eyes (jaundice) People with hepatic cancer may experience fever, enlarged veins on the belly that can be seen through the skin, and abnormal bruising or bleeding. Some signs and symptoms of hepatic cancer include increased blood calcium levels (hypercalcemia), Low blood sugar levels (hypoglycaemia) and high cholesterol levels

What are the treatments available for obesity?

The aim of the obesity treatment is to maintain a healthy Body mass index (BMI) to prevent many other diseases associated with obesity. Following a healthy dietary pattern and regular physical activity helps in sustaining overall health.

Do Genetic reasons cause obesity?

Genetic predisposition is one of the reasons for obesity, it is a well-known and currently proven fact. Around 43% of the general population is susceptible to become obese due to genetic factors.

How obesity can be identified?

The ideal way to measure obesity is by calculating Body mass index (BMI) of a person. BMI is defined as a person's weight in kilograms divided by the square of his height in meters (kg/m2). Increased BMI shows high body fatness.

When would I be able to return to work after bariatric surgery?

Usually, it may take up to one to two weeks to return to work, depending on the type of procedure that you undergo.

Are there any side effects of undergoing bariatric surgery?

The side effects of bariatric surgery are relatively lesser compared to the health issues that you suffer from obesity. Some side effects may include general weakness, malnutrition, temporary hair loss. You can overcome these issues by following the guidelines from dietitians and doctors.

How liver cancer is treated?

Treatment of liver cancer depends upon various factors, it includes the extent of the liver cancer, patients age, health conditions and personal preferences. Surgery: In liver surgery, the liver cancer cells and small portion of healthy liver tissue is removed to promote liver health. Liver transplant surgery: In liver transplant surgery the diseased liver of patient is replaced by whole or partial healthy liver from another person. Heating cancer cells. This is a minimally invasive procedure; the cancerous cells are ablated by using heat generated from medium frequency electric current. Freezing cancer cells: liquid nitrogen is used to freeze the cancer cells with the help of a surgical instrument (cryoprobe) Alcohol injection: In this method alcohol is directly injected to the tumour to treat liver cancer. Injecting Chemotherapy drugs: Injecting chemotherapy drugs directly to the liver is known as chemoembolization, it can be done as stand-alone treatment or in combination with ablation or surgery.

What are the prevention methods for liver cancer?

When it comes to prevention of liver cancer, it is really important to maintain a healthy lifestyle by doing regular exercise and following a balanced diet. Also, avoid hepatitis infection and exposure to cancer-causing substances such as aflatoxins, a toxin found on agricultural crops such as maize.

What is Obesity?

Obesity is a complex disease characterized by abnormal or excessive accumulation of fat in body that may impair health. People who have obesity are prone to develop heart disease, diabetes, high blood pressure and cancer.

What are the types of liver cancer (Hepatocellular carcinoma)?

There are mainly five types of liver cancer based upon the type of cell in the liver. Hepatocellular carcinoma (HCC) Hepatocellular carcinoma (HCC) is a common type of primary liver cancer which affects the main liver cells called hepatocytes. People with cirrhosis and men are more prone to get Hepatocellular Carcinoma. Fibrolamellar carcinoma Fibrolamellar carcinoma is rare liver cancer, it comes as a subtype of Hepatocellular carcinoma and usually seen in healthy teens and adults under 40 years old. Interestingly, people diagnosed as Fibrolamellar carcinoma is not usually associated with liver cirrhosis or Hepatitis B or C infection. Cholangiocarcinoma (bile duct cancer) Cholangiocarcinoma is a rare liver cancer of the bile ducts, also categorized under primary liver cancer. The carcinoma begins in the section of ducts inside the liver is called intrahepatic cholangiocarcinoma. Angiosarcoma Angiosarcoma a type of rare liver cancer affects the blood vessels of the liver; it is commonly seen in the elderly population. Angiosarcoma is also known as soft tissue sarcoma or haemangiosarcoma. Hepatoblastoma: Hepatoblastoma is a kind of rare primary liver cancer that mainly affects children under 3 years old.

Is obesity curable?

Obesity is a progressive and relapsing chronic disease which can be either prevented or reduced by losing weight by following a healthy dietary pattern and regular regimen of exercise.

What are the causes of Obesity?

The primary cause of obesity is the energy imbalance between calories consumed and calories expended. Overweightness is commonly caused by over eating and sedentary lifestyle. For instance, if you consume high amounts of energy, particularly fat and sugars, but do not burn off the energy through exercise and physical activity, much of the surplus energy will be stored by the body as fat. Factors that can lead to obesity are, Increased intake of energy-dense foods that are high in fat and sugars Decrease in physical activity due to the increasingly sedentary nature of work Environmental and societal changes associated with development Lack of supportive policies in health, agriculture, environment, food processing and education Diseases – Hypothyroidism, Chronic stress, Insomnia & Hypersomnia Eating Disorders Smoking cessation Drugs

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